1602 Executive Drive

LaGrange, Georgia 30240 USA

Ph. +1 (706) 884-6651 Fax: +1 (706) 884-0390

www.trackmobile.com

RECEIVING FORM SD200

Distributor Name / Address (add the address under the Distributor Name)*
Date Received*

Received Condition

1-A Damage or shortage in shipment*
Any Claims Must Be Filled With Carrier
1-B - Optional equipment*
Accessories received as ordered
1-C Manuals Received*
1-D Ignition Keys Received*

Checked Fluid Levels

2-A Engine*
2-B Radiator*
2-C Hydraulic Reservoir*
2-D Battery*
2-E Transmission*
2-F Railwheel Drive Gearcase*
2-G Differential & Planetary*
2-H Fuel*
Hidden

Checked For Leakage

3-A Engine*
3-B Cooling System*
3-C Hydraulic System*
3-D Fuel System*
3-E Transmission / Converter*
3-F Axles*
3-G Hydraulic Cylinders*
3-H Air System*

Controls And Machine Functions At Normal Operating Temperatures

4-A Gauges and Instrument*
4-B Forward / Reverse*
4-C Throttle*
4-D Steering*
4-E Transmission*
4-F Electrical System*
(Lights, Etc.)
4-G Coupler(s)*
4-H Parking Brake*
4-I Road / Rail Axle*
Hidden

General Machine Condition

5-A Paint*
5-B Fasteners Tight*
5-C Cab Interior*
5-D Decals / Inst. Plates*
5-E Optional Equipment*

Comments (Describe Any Discrepancies Found By Specific Location And Part Number)

Date Inspected*

This Report Must Be Returned Within 10 Days Of Receipt Of The Machine

FORMSD200 ©2017 Trackmobile® LLC Rev 0, 01/13/2017

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